National Tuberculosis Control Programme (NTCP) was implemented in the State since 1965 and Revised National Tuberculosis Control Programme (RNTCP) from 1999. Despite the implementation of the programme for 36 years sputum positive cases increased. Excess consumption/indiscriminate use of drugs created drug resistance. The programme implementation was marred by non-investigation of all suspects/symptomatics for TB, deficiency in sputum microscopy, shortage of microscopy centres, absence of proper health education, non-observance of dose medication, inadequate supervision and monitoring. Action plans were not prepared and supply of medicines was not regular; diagnostic facilities were inadequate. As a result target of new sputum smear positive patients remained largely unachieved. There were serious irregularities in purchase of medicines and issue of unnecessary medicines. Despite availability of funds, RNTCP was implemented late and all districts were not covered.